Jeremiah Gordon, DMD
NPI 1497870646 · on the registry since 2007
Practice
- Address
- 135 Jenkins St
Suite 105a
St Augustine, FL 32086 - Phone
- (904) 460-0999
- Fax
- (904) 460-0999
- Organisation at this address
- Pearle Vision Inc
Luxottica Of America Inc.
Dr Ted Brink & AssociatesInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida